- Stanford Health Care (Palo Alto, CA)
- …billing practices. + Proficient EXCEL, WORD, PowerPoint skills **Licenses and Certifications** + RN - Registered Nurse - State Licensure And/Or Compact ... is a Stanford Health Care job.** **A Brief Overview** The Charge Auditor performs auditing activities, including complex cases that require extensive research,… more
- Northwell Health (Garden City, NY)
- …information leading to the assignment can be substantiated by the documentation in the Medical Record. Seeking RN candidates with a HCS-D - Home Care Coding ... charts to ensure that proper standards are maintained in compliance with Federal and State regulations. 5.Applies coding rules...and related experience. 2.Current License to practice as a Registered Professional Nurse in New York State… more
- US Tech Solutions (Newark, NJ)
- …of related experience, preferably in the healthcare industry. + **Active New Jersey Registered Nurse ( RN ) License required.** **Skills:** + Knowledge of ... months contract with potential extends or Convert** **Job Description:** + The HEDIS Nurse Auditor is responsible for conducting quality audits related to state… more
- Baylor Scott & White Health (Dallas, TX)
- …on position type and/or level **Job Summary** In this job, as a Clinical Auditor RN , you'll perform charge capture accuracy audits by reviewing and analyzing ... tasks in clinical departments/functions. + Evaluate clinical documentation for compliance , meeting all regulations stipulated by federal and state...least (2) two years of relevant work experience. + Registered Nurse License. As a health care… more
- UPMC (Pittsburgh, PA)
- …Maintain or exceed designated quality and production goals. Maintain employee/insured confidentiality. Registered Nurse ( RN ). Bachelor of Science in Nursing ... Auditor /Analysts. + Provide new-hire training to Clinical Auditor /Analysts. Performing administrative appeals/preparing medical necessity appeals...CIC, CCA, CCS, CCS-P) or AHFI designation required. + Registered Nurse ( RN ) + Act… more
- Saint Francis Health System (Tulsa, OK)
- …**to login and apply.** Full Time Days Job Summary: The Compliance Nurse Auditor assists with and supports ... therefrom. Licensure, Registration and/or Certification: Valid multi-state or State of Oklahoma Registered Nurse License. Work Experience: Minimum 3 years of… more
- Ascension Health (Brookfield, WI)
- **Details** + **Department: Recovery Audit Compliance ** + **Schedule: Full Time, Days** + **Hospital: Ascension Wisconsin Hospitals** + **Location: Remote** ... orientation, gender identity or expression, pregnancy, childbirth, and related medical conditions, lactation, breastfeeding, national origin, citizenship, age, disability,… more
- SSM Health (MO)
- …+ Bachelor's degree, or equivalent combination of experience and education + Registered Nurse preferred EXPERIENCE + Three years' experience PHYSICAL ... **Worker Type:** Regular **Job Highlights:** Exciting opportunity for an Corporate Responsibility Auditor Senior role SSM Health! Preferred RN background is a… more
- Childrens Hospital of The King's Daughters (Chesapeake, VA)
- + GENERAL SUMMARY + The Revenue Integrity Nurse Auditor is responsible for the auditing and compliance functions necessary to effect accurate and complete ... medical necessity or appropriateness of services. + Conducts compliance , defense, LifeNet and special focus audits and reports...AND/OR CERTIFICATIONS + Current Virginia state license as a Registered Nurse or Registered … more
- Mount Sinai Health System (New York, NY)
- …Technologist and related professions). + Certifications such as Certified Professional Medical Auditor (CPMA), Certified Inpatient Coder (CIC), Certified Coding ... **Job Description** **Clinical Revenue Auditor -CDM Patient Financial Services-Corporate-Full-Time-Days- Hybrid.** The Clinical Revenue...a key role in ensuring the financial health and compliance of the organization and bridges the gap between… more
- UNC Health Care (Chapel Hill, NC)
- …Association) certification - AAPC (American Academy of Professional Coders) certification - RN ( Registered Nurse ) license - LPN (Licensed Practical ... the state to train and shadow round with Clinical Documentation Specialists. The CDS auditor provides elbow to elbow support during training and education as well as… more
- Community Health Systems (Franklin, TN)
- **Job Summary** The DRG Denials Auditor conducts hospital inpatient DRG denial audits for both RAC and non-RAC accounts, reviewing patient records for accuracy in ... discharge disposition, and any other relevant data to ensure coding accuracy. The auditor is also responsible for writing and defending appeal letters to payers with… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Revenue Integrity Auditor Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health is the region's top-performing healthcare ... , outpatient and specialty services (http://www.covenanthealth.com/services/) , and Covenant Medical Group (http://www.covenantmedicalgroup.org/) , our area's fastest-growing physician practice… more
- University of Washington (Seattle, WA)
- …**Desired Qualifications** . Master's Degree in business, accounting or related discipline . Medical coding knowledge or experience . RN or equivalent provider ... **Job Description** The senior healthcare auditor is responsible for the completion of internal...Washington/UW Medicine which include the School of Medicine, two medical centers (3 locations), a physician practice group, community… more
- Banner Health (AZ)
- …settings by including remote and hybrid opportunities. As a **Health Plans Licensed Practical Nurse (LPN) Auditor ** , you will be an integral part of the ... and site visits. **Key Responsibilities:** + Independently review patient medical charts to assess compliance to AHCCCS...This position is also responsible for assisting the QM RN with the investigation and research of quality of… more
- Insight Global (Plano, TX)
- …working in an acute care setting or a third-party vendor as a DRG Auditor or Clinical Documentation Specialist (CDS). -CCS Certification RN or BSN RHIT or RHIA ... DRG Auditors to join a remote healthcare organization. The DRG Revenue Integrity Auditor will perform Diagnostic Related Group (DRG) validation and quality audits on… more
- Elevance Health (Richmond, VA)
- ** Nurse Auditor Senior - Payment Integrity Complex and Clinical Audit** **Location:** This role enables associates to work virtually full-time, with the ... formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The ** Nurse Audit Senior** will be responsible… more
- St. Luke's University Health Network (Allentown, PA)
- …Works inside with adequate lighting, comfortable temperature and ventilation. EDUCATION: Registered Nurse required, BSN preferred. Current license required. . ... care. The RN Clinical Review Appeals Specialist retrospectively reviews patient medical records, claims data and coding of all diagnosis and procedure codes to… more
- University of Southern California (Alhambra, CA)
- …principles. + Pref Skills and knowledge on the following software: Cerner and Craneware + Pref Registered Nurse - RN (CA Board of Registered Nursing) + ... . The Senior RI Specialist also coordinates with Keck Medical Center of USC Administration, IS, Compliance ,...and provides leadership by providing direction to the revenue auditor team to all entities of Keck Medical… more
- LA Care Health Plan (Los Angeles, CA)
- …Fraud Examiner (CFE) Certified HealthCare Compliance (CHC) Certified Internal Auditor (CIA) Certified Coder, RN , MD, PharmaD, or equivalent Required ... Director, Compliance on Special Investigations Unit and Fraud, Waste...Off (PTO) + Tuition Reimbursement + Retirement Plans + Medical , Dental and Vision + Wellness Program + Volunteer… more
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